Abstract
The concept of cenesthopathy which was described by Dupré et al. in their literature in 1907 and introduced to our country by Murakami in 1942 have subsequently been studied by many researchers from various aspects.
We report this time on our experience of a case which developed oral cenesthopathy in the course of receiving treatment on temporomandibular arthrosis at a nearby physician's.
Patient: Female aged 44
Family history: Her father was killed in war and mother married again with her ex-husband's younger brother.
past history: Non-contributory except that she was admitted to a hospital for half a month due to pueumothorax about 2 years ago. No particular abnormality was observed in findings of clinical tests such as blood test.
Present illness: She has experienced difficulty in opening the mouth from a 12-13 years ago, for which she received massage and physicotherapy at a bone-setter and orthopedist. However, no remarkable improvement was seen, because of which she used to open her mouth forcibly. Subsequently, she visited a dentist for treatment of her anterior teeth in March 1985, and occlusal insufficiency was diagnosed. Orthodontic and occlusal treatments were started, but pain at the mandibular joint and dizziness began to develop after a while. From an occasion in June, 1986, when a hygienist said to her inattentively, “your jaw has blown out.” she felt that the mandibular moved backward. As sensation of the pharyngeal region being obliterated developed concurrently, she visited a surgeon in another hospital for emergency treatment.
Subsequently, the orthodontic treatment was continued for about 6 months, and an orthodontic appliance was removed at length in January, 1986, while the occlusal treatment was being continued. She felt her jaw moving lightly afterwards, for which she made telephone calls to a dentist frequently, but no notice was taken by the dentist of her complaint. Since increase in the sensation of the jaw moving lightly occurred together with sensation of the entire teeth moving also begun to occur, her mental state became unstable, for which she visited our department on March 2 of the same yaer.
